Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Park, Jin

Park, Jin was paid $287K by Medicaid between Nov 2020 and Apr 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.

33Billing provider infoPARK, JIN
CLEBURNE, TX 76033
33aNPI1992017461assigned 07/13/2010
33bProvider typeDentist
28Total paid$287K
24GClaims12,107
24DCodes billed20
24AFirst – last monthNov 2020 – Apr 2024
Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#435 of 1,678
Median peer was paid$35K
This provider vs. median8.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2020284$9K
20214,560$125K
20222,856$68K
20233,620$71K
2024incomplete787$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 25% 841 328 $72K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 1,309 1,283 $35K
D1120 Dental cleaning, childProphylaxis - child 9.9% 829 813 $28K
D1110 Prophylaxis - adult 8.7% 534 521 $25K
D1208 Topical application of fluoride, excluding varnish 7.2% 1,498 1,473 $21K
D0274 Bitewings - four radiographic images 6.0% 570 554 $17K
D0230 Intraoral - periapical each additional radiographic image 5.9% 1,689 1,124 $17K
D0220 Intraoral - periapical first radiographic image 5.1% 1,347 1,285 $15K
D0145 Oral evaluation for a patient under three years of age 4.7% 107 104 $14K
D1351 Sealant - per tooth 4.1% 495 93 $12K
D0272 Bitewings - two radiographic images 2.7% 371 364 $8K
D0210 Intraoral - complete series of radiographic images 2.6% 108 107 $7K
8 more codes
D2930 Prefabricated stainless steel crown - primary tooth 1.9% 37 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.6% 70 $5K
D0150 Comprehensive oral evaluation - new or established patient 1.3% 121 $4K
D0240 <1% 153 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 55 $1K
D0140 Limited oral evaluation - problem focused <1% 13 $225.36
D0603 <1% 1,947 $142.00
D0330 Panoramic radiographic image 0% 13 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.